Ccp Primary Care Center
Ccp Primary Care Center is a healthcare organization registered as Nurse Practitioner in Lafayette, LA, holding Type 2 (organization) NPI 1336115997 since 2006. The authorized official on file is Grover Phipps, Managing Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336115997 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ccp Primary Care Center |
| Practice address | 1101 ERASTE LANDRY RD, Lafayette, LA, 70506 |
| Phone | 3372896690 |
| Enumeration date | 2006-02-24 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Grover Phipps |
|---|---|
| Title | Managing Partner |
| Phone | 3372896690 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208VP0000X | Pain Medicine Physician | Secondary | 022833 | LA |
| 363L00000X | Nurse Practitioner | Primary | AP04512 | LA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-47692 | Medicaid | LA | — |
Copy-ready billing details
Provider: Ccp Primary Care Center NPI: 1336115997 Taxonomy: 363L00000X (Nurse Practitioner) Address: 1101 ERASTE LANDRY RD, Lafayette, LA, 70506
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447226741 | Scott Chapman | Individual | General Practice Physician | Lafayette, LA |
| 1154334845 | Tosheiba Holmes | Individual | Family Medicine Physician | Lafayette, LA |
Verify this record
Cross-check NPI 1336115997 against the authoritative CMS record: view Ccp Primary Care Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Ccp Primary Care Center?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.